Humerus fracture (peds): Difference between revisions
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==Proximal | ==[[Proximal humerus fracture (peds)]] == | ||
=== Background === | === Background === | ||
*Occurs predominantly during adolescence | *Occurs predominantly during adolescence | ||
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*Displaced >30 degrees: may need closed reduction | *Displaced >30 degrees: may need closed reduction | ||
== Diaphysis | == [[Diaphysis humerus fracture (peds)]] == | ||
=== Background === | === Background === | ||
*Uncommon | *Uncommon | ||
Revision as of 05:41, 18 February 2015
Proximal humerus fracture (peds)
Background
- Occurs predominantly during adolescence
- Proximal fractures classified using the Neer classification system based on number of component fractures
Treatment
- Depends on the age of the child and degree of displacement
- Ortho consult is needed to determine the best approach
Disposition
- Slightly displaced fx: Sling and ortho f/u
- Displaced >30 degrees: may need closed reduction
Diaphysis humerus fracture (peds)
Background
- Uncommon
- Consider abuse
- Direct trauma: transverse fx
- Violent rotation: spiral fx
- Fracture fragment may injure radial nerve
- Assess wrist extensors/supinators
- Sensation of dorsoradial hand, thumb, and second digits
Treatment
- Long-arm plaster splint
Disposition
- Ortho f/u
See Also
Source
- Tintinalli
- Harwood Nuss